Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 208846 | MA |
N | 208200000X | Surgeon | 208846 | MA |
N | 208600000X | Surgeon | 208846 | MA |
NPI | 1447282496 |
---|---|
Provider Name | Matthew G Nuhn |
First Address | Boston, MA 02118-2371 |
Second Address | Boston, MA 02118 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 15/07/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110075107A | (05) | MA |